Individual
KRISHNA R MUDIMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
(847) 723-3532
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036153373
IL
207L00000X
Anesthesiology Physician
68303
WI
Other
Enumeration date
04/30/2008
Last updated
01/07/2025
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